SurgiCal Obesity Treatment Study (SCOTS): a prospective, observational cohort study on health and socioeconomic burden in treatment-seeking individuals with severe obesity in Scotland, UK

Autor: Mackenzie, Ruth M., Greenlaw, Nicola, Ali, Abdulmajid, Bruce, Duff, Bruce, Julie, Grieve, Eleanor, Lean, Mike, Lindsay, Robert, Sattar, Naveed, Stewart, Sally, Ford, Ian, Logue, Jennifer, Alijani, Afshin, Bell, Ewan, Collier, Andrew, Craig, Carol, Darrion, Jennifer, Galloway, David, Kasem, Hasan, McKean, Joeleen, Oglesby, Stuart, Shearer, Chris, Stuart, Rob, Tulloh, Bruce, Welbourn, Richard, Quinn, Catherine, Beard, David, Mooney, John, Thompson, Elizabeth, O’Donnell, Joanne, Munro, Jane, Donnelly, Iona, Madrazo, Samantha Alvarez
Rok vydání: 2021
Předmět:
Zdroj: BMJ Open, Vol 11, Iss 8 (2021)
BMJ Open
ISSN: 2044-6055
DOI: 10.1136/bmjopen-2020-046441
Popis: ObjectivesThere is a lack of evidence to inform the delivery and follow-up of bariatric surgery for people with severe obesity. The SurgiCal Obesity Treatment Study (SCOTS) is a national longitudinal cohort of people undergoing bariatric surgery. Here, we describe characteristics of the recruited SCOTS cohort, and the relationship between health and socioeconomic status with body mass index (BMI) and age.Participants/Methods445 participants scheduled for bariatric surgery at any of 14 centres in Scotland, UK, were recruited between 2013 and 2016 for this longitudinal cohort study (1 withdrawal); 249 completed health-related preoperative patient-reported outcome measures. Regression models were used to estimate the effect of a 10-unit increase in age or BMI, adjusting for sex, smoking and socioeconomic status.ResultsMean age was 46 years and median BMI was 47 kg/m2. For each 10 kg/m2 higher BMI, there was a change of −5.2 (95% CI −6.9 to –3.5; pConclusionsA higher BMI combined with older age is associated with poor physical functioning and quality of life in people seeking bariatric surgery treatment. Policy-makers must consider the health and care needs of these individuals and invest to provide increased access to effective weight management.Trial registration numberISRCTN47072588.
Databáze: OpenAIRE